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American Journal of Medical Case Reports. 2016, 4(8), 296-297
DOI: 10.12691/AJMCR-4-8-10
Case Report

Identification of a Progressively Worsening Cardiac Condition in a Patient Seen in a Home Health Care Environment

Michael D. Ross1, , John M. Cheeks2, John P. Sanko3 and Michael A. Tall4

1Daemen College, Amherst, NY

2Deaconess Home Care, Laurel, MS

3University of Scranton, Scranton, PA

4San Antonio Uniformed Health Educational Consortium, San Antonio, TX

Pub. Date: September 20, 2016
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Cite this paper

Michael D. Ross, John M. Cheeks, John P. Sanko and Michael A. Tall. Identification of a Progressively Worsening Cardiac Condition in a Patient Seen in a Home Health Care Environment. American Journal of Medical Case Reports. 2016; 4(8):296-297. doi: 10.12691/AJMCR-4-8-10

Abstract

The patient was a 53 year-old woman who was seen by a home health physical therapist following a lumbar spinal fusion revision surgery which was performed 2 weeks prior. In addition to low back pain, the patient had chronic bilateral shoulder, left upper extremity, chest, mid-back, and lower extremity pain and required moderate assistance for transfers, ambulation and activities of daily living with routine complaints of shortness of breath, lightheadedness, and fatigue. Due to concern over a progressively worsening cardiac condition, the physical therapist immediately consulted a cardiologist, who agreed to see the patient the next day. The patient was subsequently diagnosed with severe coronary artery disease and was treated with coronary artery bypass grafting, after which she was independent with all activities of daily living with only minimal complaints of low back pain.

Keywords

cardiac, home health, surgery

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

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[2]  Zbierajewski-Eischeid SJ, Loeb SJ. Myocardial infarction in women: promoting symptom recognition, early diagnosis, and risk assessment. Dimens Crit Care Nurs. 2009; 28: 1-6.
 
[3]  Marijon E, Uy-Evanado A, Dumas F, Karam N, Reinier K, Teodorescu C, Narayanan K, Gunson K, Jui J, Jouven X, Chugh SS. Warning symptoms are associated with survival from sudden cardiac arrest. Ann Intern Med. 2016; 164(1):23-9.